1. Early Breast Cancer Risk Assessment: Integrating Histopathology with Artificial Intelligence.
- Author
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Ivanova, Mariia, Pescia, Carlo, Trapani, Dario, Venetis, Konstantinos, Frascarelli, Chiara, Mane, Eltjona, Cursano, Giulia, Sajjadi, Elham, Scatena, Cristian, Cerbelli, Bruna, d'Amati, Giulia, Porta, Francesca Maria, Guerini-Rocco, Elena, Criscitiello, Carmen, Curigliano, Giuseppe, and Fusco, Nicola
- Subjects
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BREAST tumor risk factors , *RISK assessment , *MEDICAL protocols , *CANCER relapse , *ARTIFICIAL intelligence , *EARLY detection of cancer , *CYTOCHEMISTRY , *TUMOR markers , *DECISION making in clinical medicine , *IMMUNOHISTOCHEMISTRY , *PATIENT-centered care , *DEEP learning , *ARTIFICIAL neural networks , *MACHINE learning , *ONCOLOGISTS , *INDIVIDUALIZED medicine , *MOLECULAR pathology , *HEALTH care teams , *ALGORITHMS , *DISEASE risk factors - Abstract
Simple Summary: Risk assessment in early breast cancer is critical for clinical decisions, but defining risk categories poses a significant challenge. The integration of conventional histopathology and biomarkers with artificial intelligence (AI) techniques, including machine learning and deep learning, has the potential to offer more precise information. AI applications extend beyond detection to histological subtyping, grading, and molecular feature identification. The successful integration of AI into clinical practice requires collaboration between histopathologists, molecular pathologists, computational pathologists, and oncologists to optimize patient outcomes. Effective risk assessment in early breast cancer is essential for informed clinical decision-making, yet consensus on defining risk categories remains challenging. This paper explores evolving approaches in risk stratification, encompassing histopathological, immunohistochemical, and molecular biomarkers alongside cutting-edge artificial intelligence (AI) techniques. Leveraging machine learning, deep learning, and convolutional neural networks, AI is reshaping predictive algorithms for recurrence risk, thereby revolutionizing diagnostic accuracy and treatment planning. Beyond detection, AI applications extend to histological subtyping, grading, lymph node assessment, and molecular feature identification, fostering personalized therapy decisions. With rising cancer rates, it is crucial to implement AI to accelerate breakthroughs in clinical practice, benefiting both patients and healthcare providers. However, it is important to recognize that while AI offers powerful automation and analysis tools, it lacks the nuanced understanding, clinical context, and ethical considerations inherent to human pathologists in patient care. Hence, the successful integration of AI into clinical practice demands collaborative efforts between medical experts and computational pathologists to optimize patient outcomes. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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